身体功能与认知状态:哪一个更好地预测了长寿认知保存的老年人基本活动中的独立性
Juliedy Waldow Kupske1, Júlia de Mattos1, Tainara Steffens1
1Exercise Research Laboratory, School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Australasian journal on ageing
|September 15, 2025
概括
身体功能,包括移动性和肌肉力量,是最年长的成年人维持日常生活活动 (ADL) 独立性的关键. 更好的身体表现显著预测了更大的功能独立性.
科学领域:
- 老年学是一门学科.
- 老年病的医生 老年病的医生
- 物理医学 物理医学
背景情况:
- 在日常生活的基本活动 (ADL) 中保持独立对于老年人的生活质量至关重要.
- 众所周知,身体功能和认知状态会影响一个人执行ADL的能力.
研究的目的:
- 根据基本ADL的依赖性来比较身体功能和认知状态.
- 为了确定哪些这些因素最好地预测非常老年人的功能独立性.
主要方法:
- 对231名90岁以上的个体进行了横截面研究.
- 身体功能通过定时上行 (TUG) 测试和手握强度 (HGS) 进行评估.
- 使用迷你心理状态检查 (MMSE) 评估认知功能;用于预测分析的二进制逻辑回归.
主要成果:
- 结合TUG测试性能和HGS的模型是基本ADL中独立性的最佳预测指标.
- 更好的TUG性能 (OR=4.3) 和更高的HGS (OR=2.0) 显著增加了功能独立的几率.
- 在TUG和HGS的每一次改进都大大提高了保持独立性的可能性.
结论:
- 身体功能,特别是运动能力和肌肉力量,是90岁以上个人基本ADL独立的关键决定因素.
- 旨在改善身体功能的干预措施可能会增强老年人的功能独立性.
- 认知状态虽然很重要,但在这个群体中,认知状态并不是ADL独立的强有力的预测指标,而不是这个群体的身体测量指标.
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